tv Key Capitol Hill Hearings CSPAN November 11, 2014 7:00am-9:01am EST
problem. but what i wanted to emphasize was that if you really wanted to get rid of this problem for good, we need to have a vaccine. you know, the primary things that is needed is to provide the effected countries with the basic needs and the basic needs are just from beds to iv fluids to antibiotics for example. and so kboing from there we've got to understand and appreciate that we've got a cultural bias that we've got to deal with in those nations. and that has to deal with the way that they deal with food. and the practices. dr. kadlec said very clearly that rain forest and you know, deforesting, a lot of land in africa and what that is doing is it is bringing the food back into close proximity.
not only human population but the primates. once the primate gets it and the food supplies are short in those countries and guess what they depend upon from food supply perspective. so they eat the apes and monkeys and basically that's the meat that they utilize. and if the animal is infected, once they slaughter the animal, they will potentially, if the animal is infected, will get the disease and you know, those practices have to change. the practices have to be modified. so a lot of work needs to be done. but one of the critical things before and beyond all of that is that we've got to help those nations build health care infrastructures. they don't have the bed capacity to deal with the regular issues that they encounter on a day-to-day basis. on top of the ebola problem, it is impossible for them to deal with it.
>>. [ inaudible ] >> hi. to follow up on your question, what is your view, the medical experts here in particular, on this 21-day quarantine? it is effective in some states. not effective in other states. some health workers define that. where should we go from there? >> the first thing i think we should understand, to highlight the fact that the guidelines at cdc have been published and evolved. there is some concern and maybe confusion with states. because states have authority under the constitution for those things that are not reserved by the federal government in public health falls into that. te have demain over this.
it is their interpretation of how they should tang recommendationes from cdc. but the sure point is, the point that rasheed made. the two fwrups from ebola transmission are close perm contacts, people with ebowl why, and health care workers treating ebowl why virus individuals. i think the difficulty in terms of the guidelines as thief been stated in the current setting, the health care workers are in greater risk p. this flies in the face of a little bit of what happened in dallas when two nurses became ill. we understand why they became ill. they didn't have the right personal protective equipment. they probably didn't receive proper training. they didn't know thousand take the equipment off. but the short answer is i think that's causing people to have, should we not view health care
workers who have been in contact with ebola patients, some what at a higher risk. with that higher risk, one of the considerations, should they self isolate? for people working for minnesota froon tier, that the recommendation is this they should go home and kind of stay out of public places for -- obviously in states where there's a lot of fear and i think that saying ignorance to go with it, there seems to be a demand politically for action. and obviously, we know in the states of new york and new jersey those quarantine orders didn't last very long. and so i think that as the events involve, as the event evolves, and as fwiguidance is refined, you might see politicians a little less likely to lead with their face. on the other hand you might see refinement by cdc to suggest
some kind of maybe higher consideration for health care workers that have been in direct contact with ebola patients. it still doesn't change the nature as they are in maine today, with the governor seeking a court injunction, to enforce quarantine on the nurse who's up there right now. to be determined. i guess. >> so i think, someone very safe said, just wait, it will change again. and i think that's kind of like the watch word that probably needs to be invoked. a bit of prudence. but certainly, some of the efforts so far probably veered one way to get in perfect a i long the way. >> one more thing to quickly add to that, the first thing is that 21 days is a safe period after which if you're not listening
any symptoms, you should not have the disease. that's the number one rule we are following over here. number one -- number two, we can v to have compassion for the health care workers. we cannot ostracize them. we have to consider the law, as well as ethics that we follow in this nation. so we've got to make sure that we follow all of those things and provide them all of the support that we need to provide them. one of the critical things that i would like to see is that, and as was mentioned that you know, there has to be a voluntary executed quarantine that individuals can impose on themselves. and i hope that after doing such tremendous work and working with patient with ebola and being on the front line and dealing with the situation, they will have enough sense to stay indoors for 21 days.
because we definitely do not, and i repeat do not want resources being spent on this particular issue at this point without spending resources on critical resources we need in africa. i can assure you that after november 4th, a lot of this hype will disappear. >> yes? >> thank you. my name is yoseph. i'm learning a lot today from the election we have today. thank so you much. quick, regarding what we mentioned by professor lawrence, especially in the middle east. because what they mentioned by professor lawrence and the --
[ inaudible ] and i believe actually the corporation is much smaller than the corporation is fighting the epidemic disease and so on. and what isis is doing in iraq and syria is not only contradict with the islam but also contradict with the human -- and so on. the egyptian government has been calling for international support to fight in the region and every single western country relax and cooperate in this regard, when the fight or flight problem emerged and just like quick thinking to give you an idea what really will happen if the change took place lately. and washington time, i think a few days ago, few weeks ago,
published statistics of the fighter in the middle east and you know, in syria. and you mentioned interesting for example, more than of tho tunesians. and we are wondering, if the regime stays in former regime stays in place and compares the population of the country, how many thousands or tens of thousands foreign fighters would be, and what is really very, in my opinion, just like professor mentioned, the situation and what really happened. we still find many criticism for what the egyptian government is doing to fight terrorists. if we look at the statement on the public statement made by the former government, we would
actually support test group in their trial to cease-fire and have in syria and the whole situation from aspiration to public to a better life and i think that we need actually to -- [ inaudible ] thank you. >> my name is greg chill ders. just a quick question. we talked about decontaminating and proper training of health care workers.
and the thought just struck me that i haven't heard anyone in the press describe how you decontaminate a health care workers. seeings as how this is all being taped and presumably going out to a fairly wide audience, i'm sure there are some of us in the room, myself included, who have actually been through decontamination for a nerve agent. you know. from full mac 4 down to skin and beyond. it is not a quick process.u 4 d and beyond. it is not a quick process. 4 dod beyond. it is not a quick process.h 4 d and beyond. it is not a quick process. it is very time consuming. it is resource intensive. then you got to decontaminate the decontaminators. which is not easy. which goes to your point, sir, about training. often and continuously. if you know, can you describe how you decontamination a health care workers that has been have
been treating someone with ebola. >> with a particular consistent agent is very similar to what you would be concerned about in the cases of being exposed to ebola virus through human secretions of one sort or the other. so in many ways, the principles are the same. in terms that though the equipment is different. in terms of some of the types of equipment available out now. but the principle measure is using bleach. so that is the principle rips or some kind of bacteriacide or microcide that will render ebola dead. there is a buddy rule like have you in the military. basically you start primarily with removing the gown first.
retaining the gloves, removing the boots first. going through a shuffle pit like you would in a nerve agent exposure. then retain, if you will, the respiratory protection and gloves are the last pieces of equipment that you would take off before you would be clean. now obviously, in settings that are in africa which are very different, than in the united states, you probably have people then probably shower out for final steps and change their clothing because they probably wore scrubs underneath. in africa they don't have those opportunities. in fact, in africa they are reusing the gloves and the gowns and many of the personal protective equipment that we see as kind of disposables, they reuse them. because of limitations and short supplies of the materials. so that's cooped of the republican description. >>. [ inaudible ] >> just like -- >> just to give you an example, and i can't remember the exact
numbers, but for each individual that needs to be decontaminated you need 32 gallons of water, 8 gallons of bleach, about 6 to 8 change of gloves, three cover alls. which cost $32 in africa. you have to have boots that go over your bots. it is very expensive and intensive process. and as dr. kadlec mentioned, you just don't have all of those facilities and resources available in africa. so a lot of things are happening over there that should not be happening but -- not we, people in those situations, have to improvise. and that's why the cost of this epidemic is so high. it is, you know, like right now the united states is approximately spent $700 million
and sending troops over there et cetera. you have to -- you have to put in the numbers that are use ford gowns, gloves, et cetera and equipment needed to decontaminate. it is very expensive and tedious and resource expensive process. >> not only there, but you just -- all of that equipment list. >> so being ex military guy. i look around and say, and going back to this preparedness, you know, professor wallace's comments about for the public good, outside the defense department. how many sets of all of that exist, let's say, in the state of texas that could be brought to the hospital in dallas? >> not enough. >> not enough. >> that raises the real critical thing. you know, the old military axiom, talking strategy or
policy, professors talk about logistics, this is all about logistics. the question is whether international, supplying clan for these kinds of materials, to address this. whether it be in monrovia or dallas, is not sufficient.mater. whether it be in monrovia or dallas, is not sufficient.for to address this. whether it be in monrovia or dallas, is not sufficient. >> the statement that you made, a poem, that poem belongs to a persian and describe that all humanities are made by the same creator that belong to the same body. and if any part of the body aches, and nobody bothers, we cannot name those people human. so that was not the statement -- >> quick footnote on the -- i
think professor spoke about the territory which is true but we do have some parts of territory you referred to. and they declared the -- aside from the territorial, i think, element which is very important, is the financial. i think capability of isis with all the something there. all of the kidnapping to all, but that capability is very important for them in order to help people in the refugee camp.
and thousands of dollars to allocate for those who joined them to volunteer. by the way, the military background will get more funding because of their experience. so number one, when we talk about refugees, this humanitarian issue that you would discuss, that deserves much greater attention and support, but it is also i think a potential for future equipment for many years to come. the children of today can become the terrorist of tomorrow. now, because of the interest of time, let me ask one question and then everyone is welcome to respond. so try to link the issue of the
different -- sometimes and we have a reasonable -- on the other hand we face these kinds of things before. not only in the manhattan projects and things like that, and i have to say that the second manhattan project, i grew up, i was born in raw way new jersey. and in east raw way, it is the whole establishment and so forth. so we learned a little bit about that as youngsters and so on. but the thing that we need to
remember is that all muof these challenges, nuclear challenges, biological challenges and the solution to all of these is many times different. you don't do the same thing in the chemical threat as you do in the biological threat. one case you badgth gather gath up and other case you spread out.gather up and other case you spread out. when you look at the enormity of it, it is interesting to throw up your hands. but we face the big threat in the 1970s. it was extraordinarily complex. whether in terms of weather, in terms of physics, in terms of the ocean et cetera, et cetera. it was called the u.s. sub m reason threat. it was enormous. so much that we almost didn't want to tackle it. but we did. and we used an approach where we bit off a little bit of the apple at a time. a little bit more at a time.
a little bit more at a time. aep you know, after a while and about 10 or 15 years we had it pretty well whipped. and that's what i think we have do here. we have to develop a long range plan, i call it a campaign plan. we start out by saying this is the end state that we really want. we would like to really be able to stay, with 80, 75 or 80% chance, we will lick these kinds of challenges. whether they are chemical, biological, medical, et cetera, ep set ra, et cetera. then we put together an organization to do that. it'll look like the military and involve the military. because the military today in the united states of america is the only organization that's really big enough to comprehend the challenges here. big enough from the standpoint of command and control and intelligence and reconnaissance, surveillance big enough from the standpoint of logistics and knowledge and that type of
thing. so that's one of the reasons why in the mid 90s we formed the -- the army developed a command for this kind of thing. that pulled in different dispersed outfits. government and otherwise that we are doing these kinds of things. they are big enough to comprehend this and big enough to make a challenge. the marine corps as small as it is for 15 years now, has add chemical biological incident response force down at the indian head, maryland. which is a national asset. it is a national asset. have three marines doing it and their whole job is to hand they'll chemical an biological challenge and he can have a decontamination and all of that kind of thing. so we have a spread out now through out the united states. instant response units in each state. and they can be used by the state and local. there's an inroad here.
and many of the units are in the national guard and national guard is a state controlled organization until the president for whatever reason federalizes. so we have embryonic capabilities in all of these areas. we have to martial a national science foundation. we have to have a tremendous amount of focus research in these different areas. and we have to have the ability to pull all this stuff together. and what the common word today and integration above all we need to integrate these desperate pieces of information, knowledge and capability into a whole and so it is an enormous challenge. and it would be easier and simpler to forget about it and worry about luck and all that kind of thing. and i don't think that it is the american way. i think we can tackle this challenge. it will take a long time. we only got started yesterday.
in honor of veterans day, vice president biden will participate in the annual wreath laying ceremony today at the tomb of the unknowns, arlington national cemetery. we'll have that live at 11:00 a.m. eastern on c-span. and later in the day, arizona senator john mccain recounts the lives of american soldiers who served in conflicts ranging from the revolutionary war to the wars in iraq and afghanistan. it is the topic of his new book titled "13 soldiers -- the certainly history of americans at war." that's live at 6:30 p.m. eastern on c-span2.
it the 2015 c-span student cam video competition is under way open to all middle and high school students to create a five to seven-minute documentary on the theme "the three branches and you," showing how policy, law or action by a legislative, judicial or federal branch government has affected you. there's 200 cash prizes for students and teachers totals $100,000. for the rules and how to get started go to studentcam.org. now discussion on nuclear policy. speakers include nuclear r regulatory commission er to allison mcfarland and the former heads to the international atomic energy agency. topics include nuclear energy and global efforts to disarm nuclear weapons. this is an hour.